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PubMed1999

Is determination of exercise intensities as percentages of VO2max or HRmax adequate?

UNLABELLED: Often exercise intensities are defined as percentages of maximal oxygen uptake (VO2max) or heart rate (HRmax). PURPOSE: The purpose of this investigation was to test the applicability of these criteria in comparison with the individual anaerobic threshold. METHODS: One progressive cycling test to exhaustion (initial stage 100 W, increment 50 W every 3 min) was analyzed in a group of 36 male cyclists and triathletes (24.9 +/- 5.5 yr; 71.6 +/- 5.7 kg; VO2max: 62.2 +/- 5.0 mL x min(-1) x kg(-1); individual anaerobic threshold = IAT: 3.64 +/- 0.41 W x kg(-1); HRmax: 188 +/- 8 min). Power output and lactate concentrations for 60 and 75% of VO2max as well as for 70 and 85% of HRmax were related to the IAT. RESULTS: There was no significant difference between the mean value of IAT (261 +/- 34 W, 2.92 +/- 0.65 mmol x L(-1)), 75% of VO2max (257 +/- 24 W, 2.84 +/-0.92 mmol x L(-1)), and 85% of HRmax (259 +/- 30 W, 2.98 +/- 0.87 mmol L(-1)). However, the percentages of the IAT ranged between 86 and 118% for 75% VO2max and 87 and 116% for 85% HRmax (corresponding lactate concentrations: 1.41-4.57 mmol x L(-1) and 1.25-4.93 mmol x L(-1), respectively). The mean values at 60% of VO2max (198 +/- 19 W, 1.55 +/- 0.67 mmol x L(-1)) and 70% of HRmax (180 +/- 27 W, 1.45 +/- 0.57 mmol x L(-1)) differed significantly (P < 0.0001) from the IAT and represented a wide range of intensities (66-91% and 53-85% of the IAT, 0.70-3.16 and 0.70-2.91 mmol x L(-1), respectively). CONCLUSIONS: In a moderately to highly endurance-trained group, the percentages of VO2max and HRmax vary considerably in relation to the IAT. As most physiological responses to exercise are intensity dependent, reliance on these parameters alone without considering the IAT is not sufficient.

Adult↗
PubMed2000

A predictive model for neutropenia associated with cancer chemotherapy.

Studies of primary prophylaxis of febrile neutropenia (FN) with recombinant human granulocyte colony-stimulating factor (rHu-G-CSF, filgrastim) administered to all patients starting their initial course of chemotherapy have demonstrated clinical effectiveness and an economic advantage in a wide range of settings. A recent meta-analysis confirmed the ability of filgrastim to reduce the risk of FN and documented infection in a variety of malignancies in both adults and children. The threshold risk for FN at which a cost saving is achieved by using filgrastim is inversely related to the daily cost of the drug and duration of hospitalization. Clinical practice guidelines for the use of filgrastim were developed based on these observations. Recent studies incorporating indirect institutional costs demonstrated that a cost saving can be achieved at substantially lower FN risk thresholds than previously estimated. Despite the demonstrated efficacy of filgrastim in primary prophylaxis, its value may be further increased by appropriately selecting patients and better understanding the importance of sustaining dose intensity in specific malignancies. Clinical prediction models capable of identifying individuals at high risk for neutropenic complications yield further reductions in FN risk thresholds and treatment costs in patients receiving cancer chemotherapy. These models also may be used to evaluate the cost-effectiveness or cost-efficiency of filgrastim. A clinical prediction model recently was presented and validated incorporating both baseline clinical characteristics as well as the results of the first cycle of chemotherapy in patients with early-stage breast cancer. A cost-effectiveness ratio of $34,297/year of life saved was estimated based on dose-response assumptions derived from a previously reported adjuvant breast cancer trial studying the impact of dose reduction on disease-free survival. The cost-effectiveness of filgrastim was evident over a wide range of clinical and cost assumptions. Clinical prediction models permit the rational and cost-effective identification of patients for filgrastim support. Existing clinical practice guidelines should be reevaluated in light of new information available on both the total costs associated with FN as well as the cost-effectiveness of these agents in patients receiving chemotherapy for sensitive and potentially curable malignancies.

Antineoplastic Agents↗
PubMed1981

[Mercury and methylmercury pollution of fishery products. Toxicological effects on human health (author's transl)].

Since the japanese mass poisoning in 1954's, classically named today "Minamata disease", mercury and its derivatives occupy a place of choice into the most worrying chemical pollutants for the human health and a lot of studies about the pathways by which mercury enters in its biogeochemical cycle or the environmental mercury levels are resumed in this paper. The most important aspects of mercury ecotoxicology are reviewed here: biological methylation reaction, bioaccumulation and biomagnification of these toxics in te aquatic ecosystems. The authors also describe the mercury and methylmercury metabolism and the symptomatology of the methylmercurial poisoning; with emphasis that infraclinic chronical manifestations, or large epidemiological interest, are not well known. It should be necessary to found a sensitive biochemical test, specific of this intoxication. The studies about the initial body burden assessment or the threshold values of mercury in easily obtainable specimens (blood hair) are only available for a statistical distribution. At individual levels, a number of factors occur, particularly the presence of selenium who should act as a biological antagonist of methylmercury.

Animals↗
PubMed2005

Is exercise-induced arterial hypoxemia in triathletes dependent on exercise modality?

To determine whether exercise modality affects arterial hypoxemia (EIAH) during training-intensity exercise, 13 triathletes performed 20 min of cycling (C) followed by 20 min of running (R): C-R, and two weeks later, 20 min of R followed by 20 min of C:R-C. Each trial was performed at an intensity slightly above the ventilatory threshold and close to the daily training intensity (75 % of VO2max). Ventilatory data were collected continuously using an automated breath-by-breath system. Partial pressure of oxygen in arterial blood (PaO2) was measured after each C and R segment and arterial oxyhemoglobin saturation (SpO2) was monitored continuously via pulse oximetry. The metabolic rate was similar across modalities and trials, i.e., C-R (53.8 +/- 3.8 vs. 51.1 +/- 5.3 ml.min(-1).kg(-1)) and R-C (52.2 +/- 4.5 vs. 53.2 +/- 4.6 ml.min(-1).kg (-1)). EIAH showed significantly greater severity for R compared to C irrespective of the order (p < 0.05 for both trials). R values of PaO2 (and SpO2) for C-R and R-C were 88.7 +/- 6.0 mm Hg (93.0 +/- 0.6 % SpO2) and 86.6 +/- 7.3 mm Hg (93.5 +/- 0.6 % SpO2) and C values were 93.7 +/- 8.4 mm Hg (95.4 +/- 0.4 % SpO2) and 91.4 +/- 5.4 mm Hg (94.8 +/- 0.3 % SpO2). R ventilatory data described a significantly different breathing pattern than C, with higher respiratory rate (35.9 b.min(-1) vs. 51.1 b.min(-1) for C-R, p < 0.01; and 50.0 b.min(-1) vs. 41.5 b.min(-1) for R-C, p < 0.01) and lower tidal volume (2636 ml vs. 2282 ml for C-R, p < 0.02 and 2272 ml vs. 2472 ml for R-C, p < 0.05). We concluded that EIAH was greater during running than cycling for a similar metabolic rate corresponding to training intensity and that EIAH could thus be considered dependent on exercise modality.

Adult↗
PubMed1996

Changes in pain threshold during the reproductive cycle of the female rat.

Responsiveness to pain was determined in female rats across the whole reproductive cycle using the tail-flick test. When tested immediately after mating, pain thresholds were unaltered, whereas 10 min later animals typically demonstrated hyperalgesia (Experiment 1). They also demonstrated hyperalgesia during most of pregnancy, and had significantly lower pain thresholds than the unmated controls except for the 24 h before parturition, when a sudden increase in tail-flick latencies was recorded (Experiment 2). Pain thresholds were also significantly lower throughout the nursing period but increased significantly when dams were separated from their litters for 6 h, and returned to premating baseline values within 24 h of weaning (Experiment 3). These findings confirm and extend earlier reports that female reproductive state may significantly modify responsiveness to noxious stimuli, and it is suggested that differences between the results of this and previous studies may be at least partly explained by the relatively stress-free test procedure adopted here.

Animals↗
PubMed1979

Regulation of ventilatory responses in vagotomized cats by caudal brainstem sites.

Respiratory responses to hypercapnia and isocapnic hypoxia were evaluated in vagotomized decerebrate cats prior to and following lesions in the midline at the pontomedullary junction. Subsequent to these lesions, frequency responses to hypercapnia were significantly elevated whereas the concomitantly determined tidal volumes were significantly lowered. In the post-lesion phase, the durations of inspiration, expiration and the total respiratory cycle at maximum hypercapnia-induced tidal volumes were lower than comparable values at maximum tidal volumes in the pre-lesion phase. The same lesions produced no significant alteration of respiratory responses to hypoxia. Mesencephalic or rostral pontile lesions caused no systematic changes in either hypercapnia- or hypoxia-induced responses. It is concluded that the lesions at the pontomedullary junction produce ventilatory alterations by interrupting a pathway interconnecting the caudal pontile apneustic center with the medullary respiratory complex. The possibility that this interruption produces an alteration in the threshold of the inspiratory off-switch mechanism of the brainstem respiratory controller is considered and discussed.

Animals↗
PubMed2006

Evidence for elongated receptive field structure for mechanisms subserving stereopsis.

To study the spatial extent and shape of the binocular disparity mechanisms subserving depth perception, we employ the spatial summation paradigm of contrast threshold for front/back depth discrimination at a fixed binocular disparity. The stimuli were Gabor patches with disparity set at either 4 or 8 arcmin and spatial frequency set at an optimal value of 4 cy/deg. Contrast threshold was measured as a function of length and width of the Gabor patches to determine the aspect ratio of greatest efficiency. The space constant of the Gaussian envelope varied between 0.0375 degrees and 0.9 degrees in either vertical or horizontal directions, or both simultaneously. For vertical elongation of the Gabor patches, discrimination sensitivity improved by 4-6 dB for a doubling of the length of the Gabor patches, then reduced more slowly as the length further increased. However, extending the Gabor patches horizontally across cycles produced little or no sensitivity improvement. Instead, discrimination performance collapsed in a fashion that is incompatible with many models of disparity processing. The results imply that the main mechanisms subserving stereoscopic depth discrimination are vertically elongated for vertical-bar Gabors and encounter special difficulties integrating horizontal disparity information. Disparity discrimination sensitivity for very small targets was also much greater than predicted by the single-mechanism fit, implying the presence of a second, independent mechanism with a very small summation field, which may underlie the fine stereoscopic processing system.

Contrast Sensitivity↗
PubMed1991

Contrast overconstancy.

In foveal vision there is a tendency toward contrast constancy above threshold. Contrast sensitivity varies greatly across different spatial and temporal frequencies and at different luminances, but perception of contrast above threshold varies much less (in logarithmic terms). In parafoveal vision (1-2 degrees eccentricity) the contrast of high-spatial-frequency gratings appeared higher than a 3-cycle per degree (c/deg) comparison grating, even though their threshold sensitivity was lower. I call this overconstancy. For two experienced observers, the effect was greatest at high spatial frequencies (12-18 c/deg) and at contrasts close to threshold. A simple model of contrast coding was able to fit all the data accurately: R' = [(C-T)/(Cnorm-T)]m, where R' is the final response, C is contrast, T is threshold contrast, and Cnorm and m are parameters. Cnorm represents the contrast at which different response functions converge to a common value (R' = 1), while m is the slope of the upper branch of a given function on logarithmic axes. This model, incorporating threshold subtraction, nonlinear compression, and response normalization, was derived from research on contrast matching, magnitude estimation, and discrimination. On this model overconstancy results when C less than Cnorm, and the contrast response for the test condition is more compressive (lower m) than in the comparison condition. In the parafovea m decreased linearly with increasing spatial frequency for both subjects, but Cnorm was approximately constant at 40-50%.

Contrast Sensitivity↗
PubMed2006

From microarray to biological networks: Analysis of gene expression profiles.

Powerful new methods, such as expression profiles using cDNA arrays, have been used to monitor changes in gene expression levels as a result of a variety of metabolic, xenobiotic, or pathogenic challenges. This potentially vast quantity of data enables, in principle, the dissection of the complex genetic networks that control the patterns and rhythms of gene expression in the cell. Here we present a general approach to developing dynamic models for analyzing time series of whole-genome expression. The parameters in the model show the influence of one gene expression level on another and are calculated using singular value decomposition as a means of inverting noisy and near-singular matrices. Correlative networks can then be generated based on these parameters with a simple threshold approach. We also demonstrate how dynamic models can be used in conjunction with cluster analysis to analyze microarray time series. Using the parameters from the dynamic model as a metric, two-way hierarchical clustering could be performed to visualize how influencing genes affect the expression levels of responding genes. Application of these approaches is demonstrated using gene expression data in yeast cell cycle.

Computational Biology↗
PubMed2006

A comparison of visual and mathematical detection of the electromyographic threshold during incremental pedaling exercise: a pilot study.

During exhaustive incremental pedaling exercises, root mean square or amplitude of integrated electromyographic values exhibits a nonlinear increase, i.e., the so-called electromyographic threshold (EMG(Th)). As proposed by various authors, this EMG(Th) could be used as a complementary indicator of the aerobic-anaerobic transition in physiological evaluations. However, most of these studies used visual detection for the EMG(Th) and to date no previous study has shown the reliability of this type of EMG(Th) detection. We aimed to compare a visual and a mathematical method for EMG(Th) detection in each of 8 lower limb muscles during incremental cycling exercise. Our results showed an overestimation in the number of cases in which EMG(Th) was detected when using visual inspection (n = 45) compared with the mathematical method (n = 32). However, no significant differences were observed between the 2 methods concerning the power output at which EMG(Th) occurred. These results suggest that EMG(Th) should be mathematically detected. In this context, coaches can easily perform such measurements in order to evaluate the impact of their training programs on the neuromuscular adaptations of their athletes. For example, an automatic mathematical detection of EMG(Th) could be performed during a pedaling exercise in order to detect neuromuscular fatigue. Furthermore, this index could be used during test or training sessions performed either in a lab or in ecological situations. Moreover, the use of EMG(Th) to predict ventilatory threshold occurrence could be an interesting tool for trainers who cannot use the very expensive devices needed to analyze respiratory gas exchanges.

Adult↗
PubMed2005

The effect of active carbon on the reduction of concentrated nitric acid by HCOOH.

In nuclear industry, removal of nitric acid from solutions is required in the course of chemical separation and waste treatment procedure as well as in chemical conversion steps. The reduction of HNO3 by HCOOH to gaseous products such as nitrogen, nitrogen oxides, and carbon dioxide is an attractive way to accomplish the denitration. A typical problem for the denitration is the existence of the induction period. The induction period has been explained as the time necessary to increase the concentration of HNO2, which is an important reaction intermediate, above a threshold value. In this study, adsorption sites on the surface of active carbon were found to promote HNO2 formation and efficiently suppress the induction period. Induction time was shortened by increasing the amount of active carbon in the solution. When the solution contains 3 M HNO3 and 1 M HCOOH, 10 g/L of active carbon was enough to eliminate the induction period at 50 degrees C. The catalytic effect exhibited by active carbon was similar to that reported for Pt/SiO2. Therefore, on the surface of active carbon, there is a redox cycle, where HNO3 is reduced to HNO2 and then the oxidized surface site will be reduced by HCOOH.

Journal Article↗
PubMed2001

Change in post-exercise vagal reactivation with exercise training and detraining in young men.

We studied the effects of aerobic exercise training and detraining in humans on post-exercise vagal reactivation. Ten healthy untrained men trained for 8 weeks using a cycle ergometer [70% of initial maximal oxygen uptake (VO2max) for 1 h, 3-4 days.week-1] and then did not exercise for the next 4 weeks. Post-exercise vagal reactivation was evaluated as the time constant of the beat-by-beat decrease in heart rate during the 30 s (t30) immediately following 4 min exercise at 80% of ventilatory threshold (VT). The VO2max and the oxygen uptake at VT had significantly increased after the 8 weeks training programme (P < 0.0001, P < 0.001, respectively). The t30 had shortened after training, and values after 4 weeks and 8 weeks of training were significantly shorter than the initial t30 (P < 0.05, P < 0.01, respectively). The change in the t30 after 8 weeks of training closely and inversely correlated with the initial t30 (r = -0.965, P < 0.0001). The reduced t30 was prolonged significantly after 2 weeks of detraining, and had returned almost to the baseline level after a further 2 weeks of detraining. These results suggest that aerobic exercise training of moderate intensity accelerates post-exercise vagal reactivation, but that the accelerated function regresses within a few weeks of detraining.

Adult↗
PubMed1992

A dynamical model for a co-operative enzyme.

Proteins partially immersed in the hydrophobic portion of a lipid bilayer interact by means of London-van der Waals non-bonding dispersion forces. Moreover, in certain organelles, enzymes are structured in a lattice or ordered matrix. These conditions may facilitate the establishment of long-range correlations between proteins. We studied the dynamical properties of a model for an enzyme endowed with a highly co-operative conformational transition between two reactive states. Two cases were considered, a closed system and an open system. In the closed system for different degrees of interaction among the proteins, it was found that for a substrate concentration greater than a certain threshold an abrupt change of enzymatic activity occurs. This biphasic behavior has been observed in the enzymatic activity of crystalline mitochondrial aspartate aminotransferase and for some other crystalline enzymes. In the analysis of the open system, for a specific input rate of the substrate, two different dynamics were found depending on the selected degree of interaction. For a certain value of a parameter phi, representing the degree of interaction among the reacting units, three steady states co-exist. This multiplicity confers excitable properties to the model. For larger values of phi, limit cycle type solutions were obtained. Thus, a sustained oscillatory product formation of the enzymatic reaction is observed. These results are compared with experimental observations of enzyme extracts detected by NMR.

Enzyme Activation↗
PubMed1995

Magnetic transcranial stimulation in healthy humans: influence on the behavior of upper limb motor units.

Aim of the study was to analyze the characteristics of motor action potentials recruitment during magnetic trans-cranial stimulation (TCS) of the brain. Coaxial needle recordings from hand and upper limb musculature, as well as surface electrodes were employed in 20 healthy controls during magnetic TCS with regular and figure-of-8 coil in different experimental protocols including: (a) simple reaction time paradigm during which TCS at subthreshold intensity for eliciting MEPs in relaxation was delivered at various intervals between the signal to move and the onset of the voluntary EMG burst; (b) suprathreshold TCS was randomly delivered while the subject was voluntarily firing at a regular rate one 'low' and/or 'high threshold' motor unit action potential (MUAP). The pre- and post-TCS MUAPs recruitment as well as their firing rates were compared; (c) recordings with two separate needles picking up individual MUAPs from the same or from two different muscles were obtained in order to test 'synchrony' of MUAP's discharge before and after TCS; (d) the influence of the time-interval separating the last discharged MUAP from TCS was evaluated. (e) differences between simultaneous surface and depth recordings were examined. The following results were obtained. (a) The same low-amplitude MUAP which is first voluntarily recruited at the onset of the EMG burst is the one initially fired by TCS in the pre-movement period. Latency shortenings and amplitude enlargement of surface MEPs were observed with faster reaction times. Such changes were coupled to the recruitment of high-threshold MUAPs being larger in amplitude and briefer in latency than the initial one. (b) When using suprathreshold TCS, MEPs followed by silent periods were found. The SP was followed by a rebound acceleration of the MUAPs firing rate compared with pre-TCS levels. Besides rebound acceleration, new MUAPs of larger amplitude than the original (= pre-stimulus) ones were recruited beyond the voluntary control. This phenomenon-together with longer SPs- was progressively more pronounced with stronger stimuli. (c) TCS was affecting the 'synchrony' of MUAPs. (d) If the latency difference between the last pre-stimulus spike and the TCS was exceeding the half-cycle of the MUAP 'natural' firing, the SP was longer in duration. (e) SPs not preceded by MEPs were clearly present in depth recordings. Surface recordings mainly reflected the behavior of high-threshold and large MUAPs.

Action Potentials↗
PubMed2005

Aerobic and functional capacities in a selected active population of European octogenarians.

Master athletes are often considered to represent the ideal rate of decline of aerobic function; however, most of the studies interested in active elderly people are often limited to people younger than 75. We aimed to determine the physiological adaptations and aerobic fitness in a selected European population of active octogenarians during maximal and submaximal exercise tests. Aerobic capacity was measured during maximal incremental tests on treadmill (TR) and cycle-ergometer (CE) and functional capacity during a 6-minute walk test (6-MWT) in 17 subjects aged 81.2 +/- 0.8 years. Pulmonary gas exchange and heart rate (HR) were continuously measured during the different exercise tests. Maximal oxygen consumption (V.O (2max)) on TR and CE was significantly higher than predicted values (TR: 28.7 +/- 1.2 vs. 17 +/- 0.5 ml . kg (-1) . min (-1); CE: 23 +/- 1.2 vs. 16 +/- 0.6 ml . kg (-1) . min (-1) for measured and predicted values respectively). V.O (2max) and HR (max), as well as V.O (2) and HR at the ventilatory threshold (V.O (2)T (V.E) and HR T (V.E)) were significantly higher on TR than on CE (HR (max): 144 +/- 4 vs. 138 +/- 4 bpm; V.O (2)T (V.E): 22.5 +/- 0.8 vs. 17.7 +/- 0.9 ml . kg (-1) . min (-1) for TR and CE respectively). V.O (2)T (V.E) and HR T (V.E) on TR were equivalent to V.O (2) and HR measured during the 6-MWT. HR T (V.E) on TR and mean HR during the 6-MWT were strongly correlated (R = 0.82, p < 0.01). Maintenance of regular physical activity provides high aerobic fitness, in octogenarians, as was shown by the higher values of our subjects in comparison to predicted values. Moreover, the close relation between the intensity developed at T (V.E) on TR and 6-MWT could support the idea that a walk test is a submaximal test performed at high intensity that could provide a basis for exercise prescription in an individualized manner in active elderly people.

Adaptation, Physiological↗
PubMed1951

Galvanotaxis of slime mold.

The plasmodium of Physarum polycephalum reacts to direct current by migration toward the cathode. Cathodal migration was obtained upon a variety of substrata such as baked clay, paper, cellophane, and agar with a current density in the substratum of 1.0 microa./mm.(2) Injury was produced by current densities of 8.0 to 12.0 microa./mm.(2) The negative galvanotactic response was not due to electrode products. Attempts to demonstrate that the response was due to gradients or orientation in the substratum, pH changes in the mold, cataphoresis, electroosmosis, or endosmosis were not successful. The addition of salts (CaCl(2), LiCl, NaCl, Na(2)SO(4), NaHCO(3), KCl, MgSO(4), sodium citrate, and sea water) to agar indicated that change of cations had more effect than anions upon galvanotaxis and that the effect was upon threshold values. K ion (0.01 M KCl) increased the lower threshold value to 8.0 microa./mm.(2) and the upper threshold value to 32.0 microa./mm.(2), whereas the Li ion (0.01 M LiCl) increased the lower threshold to only 4.0 microa./mm.(2) and the upper threshold to only 16.0 microa./mm.(2) The passage of electric current produced no increase in the rate of cathodal migration; neither was there a decrease until injurious current densities were reached. With increase of subthreshold current densities there was a progressive decrease in rate of migration toward the anode until complete anodal inhibition occurred. There was orientation at right angles to the electrodes in alternating current (60 cycle) with current density of 4.0 microa./mm.(2) and in direct current of 5.0 microa./mm.(2) when polarity of current was reversed every minute. It is concluded that the negative galvanotactic response of P. polycephalum is due to inhibition of migration on the anodal side of the plasmodium and that this inhibition results in the limitation of the normal migration of the mold to a cathodal direction. The mechanism of the anodal inhibition has not been elucidated.

Fungi↗
PubMed1999

Effects of ischemic preconditioning on reperfusion arrhythmias and electrophysiology in isolated rat hearts: it is not a role of KATP(+) channels.

OBJECTIVE: To investigate the effects of ischemic preconditioning (PC) and ATP sensitive K+ channels (KATP(+) opener nicorandil on reperfusion arrhythmias and electrophysiology. METHODS: Langendorff-perfused rat hearts were subjected to ischemic PC with three cycles of 2 minutes of global ischemia or infusion of KATP(+) opener nicorandil with subsequent 5 minutes global ischemia and reperfusion. The incidence of reperfusion arrhythmias, ventricular fibrillation threshold (VFT), effective refractory period (ERP) and monophasic action potential duration (MAPD) of the left and right ventricles were compared to those from control rat hearts. RESULTS: The results indicated that PC reduced the incidence of total arrhythmias and ventricular fibrillation during reperfusion (P < 0.05, vs controls). PC markedly delayed the onset of arrhythmia after reperfusion (P < 0.01, vs controls). PC significantly enhanced the VFT values during reperfusion and shortened the ERP and the MAPD during ischemia. VFT was restored more rapidly than that in controls. KATP+ opener nicorandil neither reduced the incidence of total arrhythmias and VF nor delayed arrhythmia onset. Nicorandil shortened ERP and MAPD90 without enhancing the VFT values, and VFT returned to normal as slowly as that in controls. CONCLUSIONS: We conclude that PC protects the globally ischemic rat hearts from reperfusion arrhythmias. The antiarrhythmic effect of PC is likely to be related to a significant increase of VFT. KATP(+) opener nicorandil has no potential antiarrhythmic action and KATP(+) channels may not play a major role in the antiarrhythmic effects of ischemic PC in isolated rat hearts.

Animals↗
PubMed2000

Quantification of pressure relief using interface pressure and tissue perfusion in alternating pressure air mattresses.

OBJECTIVE: To examine whether the interface pressure (IP) relief provided by alternating pressure air mattresses (APAMs) is matched with maintenance of tissue perfusion over the points of contact by measuring transcutaneous oxygen and carbon dioxide (tcPO2, tcPCO2). DESIGN: Comparative analysis of 2 APAMs with a 2-parameter continuous time-based method for quantifying pressure relief (PR) and transcutaneous gas measurement for assessing tissue perfusion. SETTING: Rehabilitation research facility in a university hospital. PARTICIPANTS: Eleven able-bodied adult postgraduate student volunteers. MAIN OUTCOME MEASURES: Two full-replacement APAM systems were used. For each mattress the mean maximum and minimum interface pressures; mean peak air pressures in the mattresses; interface pressure durations below 30, 20, and 10 mmHg over a 60-minute period; mean maximum tcPCO2 and minimum tcPO2; and mean area under the tcPO2 and tcPCO2 curves were measured for each subject. RESULTS: IP on the sacrum was held below thresholds of 30, 20, and 10 mmHg longer on a 2-cell, low pressure system than on a 3-cell, high pressure system (p < .001). Integrated over time, tcPO2 levels also indicated that the 2-cell system retained oxygen levels closer to the unloaded baseline than did the 3-cell system (p < .01). tcPCO2 levels did not rise significantly (p > 0.1) compared with the baseline measurement in both mattresses. CONCLUSIONS: PR was sensitive to the design of the APAM, especially its inflation pressure, cycle time, and inflation sequence. If future trials demonstrate that PR values and transcutaneous blood gas measurements correlate significantly with the clinical incidence of pressure sore formation, then this technique may prove useful in assessing the effectiveness of alternating pressure support surfaces.

Adult↗